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Invasive Pneumococcal Disease (IPD)-2010

Invasive Pneumococcal Disease (IPD)-2010. Veerinder (Vinny) Taneja PHIN Coordinator CEDS TN-DOH Vinny.Taneja@tn.gov. Background. List of Nationally Notifiable Infectious Disease Conditions is updated periodically Additions/Deletions Emerging Pathogens or decreasing incidence

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Invasive Pneumococcal Disease (IPD)-2010

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  1. Invasive Pneumococcal Disease (IPD)-2010 Veerinder (Vinny) Taneja PHIN Coordinator CEDS TN-DOH Vinny.Taneja@tn.gov

  2. Background • List of Nationally Notifiable Infectious Disease Conditions is updated periodically • Additions/Deletions • Emerging Pathogens or decreasing incidence • State-CDC-CSTE collaboration

  3. 2010 Changes for IPD • All cases of invasive pneumococcal disease should be reported using a SINGLE condition: • Streptococcus pneumoniae, invasive disease (IPD) (all ages) • The classification of invasive pneumococcal disease cases into two separate conditions should be discontinued • Streptococcus pneumoniae, drug resistant, invasive (DRSP) • Streptococcus pneumoniae, invasive

  4. Changes to NBS • NBS was recently upgraded to version 3.1.1 on 03/19/2010 • All 3 conditions are now available in NBS under the Select Condition drop down

  5. Changes to NBS- IPD • 2 of the old conditions will soon be disabled • Changes to case definition • Confirmed: Isolation of Streptococcus pneumoniae from a normally sterile body site in a person of any age. • Disease manual update and updated reportable conditions list • Provider education about reporting IPD and antibiotic testing results

  6. NBS data entry changes • Leave all previously entered 2010 cases as is (MAKE NO CHANGES) • Enter all new cases of Invasive Pneumococcal Disease as • Streptococcus Pneumoniae, Invasive Disease (IPD) • Enter Antimicrobial Resistance Testing Results

  7. Antimicrobial Resistance Testing Results

  8. Recommended Antibiotic Results • The antibiograms for S. pneumo are recommended to include the following:  • ceftriaxone • erythromycin or clindamycin • levofloxacin • penicillin • tetracycline • meropenem DRSP is defined as resistance to one or more of the antibiotics commonly used to treat Strep Pneumo.

  9. Data Analysis • For years 2009 and prior the two old conditions will be used • For 2010 all three conditions will be used • For 2011 the new IPD condition will be used • Stratify by resistant and sensitive

  10. References • National Notifiable Diseases Surveillance System http://www.cdc.gov/ncphi/disss/nndss/nndsshis.htm • CSTE Position Statement Number: 09-ID-06 http://www.cste.org/ps2009/09-ID-06.pdf

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